Table 4.
[18F]FDG-PET/CT-driven group (n = 91) | Diagnostic surgery group (n = 41) | p | Adjusted p | Adjusted OR (95% CI) | |
---|---|---|---|---|---|
Surgical complications following diagnostic surgery | 13 (14%) | 10 (24%)a | 0.16e | 0.17g | 0.5 (0.2–1.3)g |
In benign nodules (n = 98) | 9 (14%) | 9 (26%) | 0.16e | 0.23g | 0.5 (0.2–1.5)g |
In malignant and borderline nodules (n = 34) | 4 (14%) | 1 (17%) | 1f | 0.75g | 1.6 (0.1–30.7)g |
Type of complication | |||||
Wound infection | 1 (1%) | 1 (2%) | 0.53f | 0.62g | 0.5 (0.0–8.4)g |
Hematoma with re-exploration surgery | 1 (1%) | 1 (2%)a | 0.53f | 0.53g | 0.4 (0.0–7.8)g |
Seroma | 1 (1%) | 1 (2%) | 0.53f | 0.63g | 0.5 (0.0–8.7)g |
Recurrent nerve paralysis | 2 (2%) | 0 (0%) | 1f | 1g | 2.4E+7 (0-∞)g |
Hypothyroidism following partial thyroidectomyb | 5 (6%)c | 7 (17%)a | 0.06f | 0.07g | 0.3 (0.1–1.1)g |
Hypoparathyroidism, transient | 3 (3%)d | 1 (2%) | 1f | 0.85g | 1.2 (0.1–13.2)g |
Incidental findings on [18F]FDG-PET/CT | |||||
With diagnostic or therapeutic consequence | 12 (13%) | 10 (24%) | 0.11e | 0.09g | 0.4 (0.2–1.1)g |
[18F]FDG-positive thyroid incidentaloma | 10 (11%) | 9 (22%) | 0.10e | 0.10g | 0.4 (0.2–1.2)g |
Benign | 7 (8%) | 7 (17%) | 0.32e | n.s. | |
Malignant | 2 (2%) | 0 (0%) | |||
No definite diagnosis | 1 (1%) | 2 (5%) | |||
Survival after one year | 91 (100%) | 41 (100%) | n.a. | n.a. | n.a. |
CI, confidence interval. n.a., not applicable. n.s., not specified. OR, odds ratio
aTwo complications (hematoma and hypothyroidism) occurred in one patient
bHypothyroidism due to partial thyroidectomy included patients who had new levothyroxine-dependent hypothyroidism following a partial thyroidectomy procedure (i.e., hemithyroidectomy and/or isthmus resection)
cInitial total thyroidectomies (n = 5) are excluded from the denominator
dTransient hypoparathyroidism only occurred following initial total thyroidectomy
ePearson’s chi-squared test
fFisher’s exact test
gBinary logistic regression to adjust for stratifying variables